Medicine
Researchers have estimated that in order to meet the projected US population need for primary care physicians in 2035, residency production will need to increase by 21%. For the past 5 years, a small grant program from the Health Resources and Services Administration (HRSA) has supported training about 900 additional residents in family medicine, internal medicine, and pediatrics. Of these, historical trends predict that about 600 will practice primary care. Although this is only a drop in the bucket compared with what is needed, the funding for these positions unfortunately will expire this year. Two surveys of program directors whose programs received one of these time-limited grants found that only 1 in 5 has secured funding to continue to support the expanded positions after 2017. ...
Last year, the Institute of Medicine published a report that called for reforming the allocation of taxpayer-supported residency funding to make teaching institutions accountable for producing a physician workforce that "can provide better individual care, better population health, and lower cost." My interpretation of this statement is: Provide financial incentives to train more family physicians! ...
The bottom line is that primary care physicians and our professional organizations need to push not only for reforms in how we are paid for patient care, but also reforms in how residency programs are funded in order to increase our numbers and produce a balanced workforce that meets the health needs of our nation.
- Gme Funding Must Be Targeted To Primary Care
Much of the cost of training physicians is currently borne by Medicare (and, to a lesser extent, Medicaid). This is known as Graduate Medical Education, or GME, funding, and it pays some, all, or more than all (depending upon the hospital and based...
- Primary Care Grants From Hrsa: Not Enough, Not Wisely Done
. In late September, the Health Resources Services Administration (HRSA), a branch of the federal Department of Health and Human Services (HHS) released the funding announcements for its grants support a variety of educational programs for academic year...
- Now That's Government Waste: $10 Billion Per Year To Train The Wrong Physicians
Last year, the physicians at my academic family medicine practice met with two senior officials from our parent health care organization to be oriented to its new initiatives and projects. Their presentation documented the organization's ongoing investments...
- Direct Primary Care Called One Of Health Care's "big Ideas"
A Graham Center Policy One-Pager in the April 1st issue of American Family Physician uses historical data to project the effect of the 2010 Primary Care Residency Expansion Program (PCRE). By its conclusion in 2015, the PCRE program...
- Conflicting Views On The Need For More Family Physicians
Researchers at the American Academy of Family Physicians' Robert Graham Center (which produces the Policy One-Pagers series for American Family Physician) recently predicted in the Annals of Family Medicine that a combination of population growth,...
Medicine
Primary care training: follow the money
Training any kind of doctor is time-consuming and expensive, but the way teaching hospitals are financed often means that it is more profitable to open a subspecialist residency program than one in primary care. In a previous post, I reviewed a Robert Graham Center study that concluded: "Medicare pays a disproportionate amount of its nearly $10 billion per year in subsidies to institutions that produce mostly subspecialists, even in specialties where supplies are plentiful, at the expense of training sorely needed family physicians and other generalists." I elaborated on the imperative to align public graduate medical education spending with population health outcomes in a recent Medscape video commentary. Here are some excerpts:
Researchers have estimated that in order to meet the projected US population need for primary care physicians in 2035, residency production will need to increase by 21%. For the past 5 years, a small grant program from the Health Resources and Services Administration (HRSA) has supported training about 900 additional residents in family medicine, internal medicine, and pediatrics. Of these, historical trends predict that about 600 will practice primary care. Although this is only a drop in the bucket compared with what is needed, the funding for these positions unfortunately will expire this year. Two surveys of program directors whose programs received one of these time-limited grants found that only 1 in 5 has secured funding to continue to support the expanded positions after 2017. ...
Last year, the Institute of Medicine published a report that called for reforming the allocation of taxpayer-supported residency funding to make teaching institutions accountable for producing a physician workforce that "can provide better individual care, better population health, and lower cost." My interpretation of this statement is: Provide financial incentives to train more family physicians! ...
The bottom line is that primary care physicians and our professional organizations need to push not only for reforms in how we are paid for patient care, but also reforms in how residency programs are funded in order to increase our numbers and produce a balanced workforce that meets the health needs of our nation.
- Gme Funding Must Be Targeted To Primary Care
Much of the cost of training physicians is currently borne by Medicare (and, to a lesser extent, Medicaid). This is known as Graduate Medical Education, or GME, funding, and it pays some, all, or more than all (depending upon the hospital and based...
- Primary Care Grants From Hrsa: Not Enough, Not Wisely Done
. In late September, the Health Resources Services Administration (HRSA), a branch of the federal Department of Health and Human Services (HHS) released the funding announcements for its grants support a variety of educational programs for academic year...
- Now That's Government Waste: $10 Billion Per Year To Train The Wrong Physicians
Last year, the physicians at my academic family medicine practice met with two senior officials from our parent health care organization to be oriented to its new initiatives and projects. Their presentation documented the organization's ongoing investments...
- Direct Primary Care Called One Of Health Care's "big Ideas"
A Graham Center Policy One-Pager in the April 1st issue of American Family Physician uses historical data to project the effect of the 2010 Primary Care Residency Expansion Program (PCRE). By its conclusion in 2015, the PCRE program...
- Conflicting Views On The Need For More Family Physicians
Researchers at the American Academy of Family Physicians' Robert Graham Center (which produces the Policy One-Pagers series for American Family Physician) recently predicted in the Annals of Family Medicine that a combination of population growth,...